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Method of improving cognitive function

a cognitive function and cognitive technology, applied in the field of limiting cognitive function decline, can solve the problems of patchy necrosis and cerebral swelling, cerebral embolian inflammation with subsequent cognitive dysfunction, and traumatic recovery period for patients,

Inactive Publication Date: 2003-03-13
ALEXION PHARMA INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Although CABG surgery has substantially improved the therapeutic outcome of patients with advanced myocardial ischemia, the recovery period may be often traumatic to the patient with significant attendant risks.
Inflammation occurs in the cerebral microvasculature and surrounding neural tissue leading to patchy areas of necrosis and cerebral swelling.
Even in patients undergoing CABG surgery without concomitant cardiopulmonary bypass, emboli from manipulation of the heart or the proximal aortic anastomosis may result in cerebral embolian inflammation with subsequent cognitive dysfunction.
Hence, a "brain-damaged" subject may have normal or above normal IQ and not exhibit any apparent defects in visual, manual motor, or speech functions, but show reduced efficiency in processing the steps required for execution of SDMT.
Hence, it is apparent that any decline in scores with subsequent re-testing likely underestimates the true decline in function due to the attenuating effect of concomitant learning.
In particular, membrane insertion of small numbers of the C5b-9 complexes into endothelial cells and platelets can cause deleterious cell activation.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment Construction

Assessment of Percent Change in Symbol Digit Scores at Discharge Post CABG:

Clinical Relevance of a 10% or 15% Decline in Symbol Digit Score

[0032] A randomized, multi-center, double-blind, placebo-controlled study was conducted of a humanized single chain antibody that binds to C5, Pexelizumab, administered to patients who underwent CPB with CABG.

[0033] The study population consisted of individuals who elected to undergo non-emergent coronary-artery bypass graft (CABG) surgery, with or without valve surgery, which required the use of a cardiopulmonary bypass (CPB) machine. There were 692 patients involved in the study of bypass related changes in cognitive function as measured by the Symbol Digit Modalities Test (SDMT). Of these, 617 patients underwent CABG only.

[0034] A total of 399 CABG only patients received one of the following treatment combinations: i) Bolus 2.0 mg / kg Pexelizumab followed by 0.05 mg / kg / hr Pexelizumab for 24 hours; or ii) placebo. The Pexelizumab or matching pla...

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PUM

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Abstract

Methods are useful for determining the effectiveness of anti-inflammatory compounds in reducing the proportion of patients exhibiting an accelerated decline in cognitive function. Reductions in decline of cognitive function in patients are provided by administering an anti-inflammatory compound.

Description

[0001] 1. Technical Field[0002] This disclosure relates to methods of limiting decline in cognitive function in a subject within a susceptible patient population by administering an anti-inflammatory compound to the subject. Methods for determining the effectiveness of an anti-inflammatory compound in limiting decline of cognitive function is also described.[0003] 2. Background of Related Art[0004] Coronary artery disease is often characterized by lesions or occlusions in the coronary arteries which may result in inadequate blood flow to the myocardium, or myocardial ischemia, which is typically responsible for such complications as angina pectoris, necrosis of cardiac tissue (myocardial infarction), and sudden death. In some cases, coronary artery disease may be treated by the use of drugs and by modifications in behavior and diet. In other cases, dilatation of coronary arteries may be achieved by such procedures as angioplasty, laser ablation, atherectomy, catheterization, and int...

Claims

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Application Information

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IPC IPC(8): A61K45/00A61K39/395A61P9/08A61P9/10A61P9/12A61P25/16A61P25/28A61P29/00C07K16/18
CPCA61K2039/505C07K16/18C07K2317/24C07K2317/622A61P9/08A61P9/10A61P9/12A61P25/16A61P25/28A61P29/00
Inventor BELL, LEONARD
Owner ALEXION PHARMA INC
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